Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

OLGA L GOMEZ MD PA CHILDRENS CLINIC

NPI: 1285932418 · WESLACO, TX 78596 · Pediatrics Physician · NPI assigned 03/11/2011

$1.33M
Total Medicaid Paid
56,544
Total Claims
43,642
Beneficiaries
44
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGOMEZ MORENO, OLGA (PRESIDENT/OWNER)
NPI Enumeration Date03/11/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 374 $10K
2021 8,184 $202K
2022 16,238 $380K
2023 17,795 $412K
2024 13,953 $329K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,932 9,604 $431K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 4,137 3,845 $157K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,479 1,446 $116K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,356 1,305 $100K
90460 Immunization administration through 18 years of age via any route, first or only component 8,505 3,821 $93K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 6,845 3,144 $89K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 923 898 $75K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,374 1,244 $69K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,924 4,532 $64K
99429 1,528 1,499 $51K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 249 244 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,708 1,161 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 149 143 $12K
99000 1,043 940 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 412 388 $10K
87807 927 860 $10K
90461 2,154 1,837 $8K
83655 303 300 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 75 62 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 135 134 $2K
90480 45 39 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 57 57 $431.48
96160 182 178 $394.43
81002 76 73 $216.08
90473 14 14 $192.50
90674 45 45 $79.50
90686 1,488 1,448 $0.68
90677 241 236 $0.30
90654 78 78 $0.14
90651 109 105 $0.11
90670 950 930 $0.00
90648 817 800 $0.00
90685 45 45 $0.00
G0271 Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes 33 32 $0.00
90633 452 437 $0.00
90710 172 171 $0.00
91320 13 13 $0.00
90700 27 27 $0.00
90680 846 826 $0.00
90723 393 386 $0.00
90698 63 61 $0.00
90660 36 35 $0.00
S9451 Exercise classes, non-physician provider, per session 33 32 $0.00
90656 171 167 $0.00